Darfur.pdf
PDF 47 KB Posted
- Solicitation number
- 0000040174
- Issued by
- California
About this file
This is a Darfur Contracting Act Compliance certification form issued by the State of California's Governor's Office of Business & Economic Development (GO-Biz) for use in connection with the UK Quantum Mission Logistical Support Request for Proposals. The form establishes compliance requirements under California Public Contract Code sections 10475-10481, which prohibit state agencies from contracting with scrutinized companies conducting specified types of business in Sudan. Prospective bidders must certify their eligibility by initialing one of three options: confirming they have no business operations outside the United States within the previous three years; confirming they are a scrutinized company with written permission from the Department of General Services to bid; or certifying they have international business activities but do not qualify as a scrutinized company under the statute. The certification must be executed under penalty of perjury by an authorized representative and include the company name, federal identification number, authorized signature, printed name and title of the signatory, and the county and state where executed.
No pricing terms, set-asides, incumbent information, or funding details are specified in this compliance certification form. The document serves solely as a prerequisite eligibility requirement for participation in the UK Quantum Mission Logistical Support Request for Proposals and must be submitted with any bid or proposal. Bidders should note that failure to properly complete and certify compliance may result in bid rejection or contract ineligibility.
View the file
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| W-8BEN-E.pdf | ||
| UK_Quantum_Mission_Logistical_Support_RFP.pdf | ||
| STD._204_2021.pdf | ||
| CCC_Fillable.pdf | ||
| W-8BEN.pdf | ||
| STD_21-_drug_free.pdf | ||
| Bidder_Declaration.pdf |
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Text version
STATE OF CALIFORNIA Governor’s Office of Business & Economic Development (GO-Biz)
DARFUR CONTRACTING ACT COMPLIANCE
Pursuant to Public Contract Code (PCC) sections 10475-10481, the Darfur Contracting Act’s intent is to preclude State agencies from contracting with scrutinized companies that do business in the African nation of Sudan. A scrutinized company is a company doing specified types of business in Sudan as defined in PCC section 10476. Scrutinized companies are ineligible to, and cannot, contract with a State agency for goods or services (PCC section 10477(a)) unless obtaining permission from the Department of General Services according to the criteria set forth in PCC section 10477(b).
Therefore, to be eligible to contract with the California Governor’s Office of Business & Economic Development (GO-Biz), please initial one of the following three paragraphs and complete the certification below:
1. We do not currently have, or we have not had within the previous Initials three years, business activities or other operations outside of the United
States.
OR
2. We are a scrutinized company as defined in Public Contract Code Initials section 10476, but we have received written permission from the
Department of General Services (DGS) to submit a bid or proposal pursuant to Public Contract Code section 10477(b) or submit a contract/purchase order. A copy of the written permission from DGS is included with our bid, proposal or contract/purchase order.
OR
3. We currently have, or we have had within the previous three years, Initials business activities or other operations outside of the United States, but we certify below that we are not a scrutinized company as defined in Public Contract Code section 10476.
CERTIFICATION
I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind this company to the clause listed above. This certification is made under the laws of the State of California.
Company Name (Printed) Federal ID Number
By (Authorized Signature)
Printed Name and Title of Person Signing
Date Executed Executed in the County and State of
| DARFUR CONTRACTING ACT COMPLIANCE |
| OR |
| OR |
| Initials: |
| Initials_2: |
| Initials_3: |
| Company Name Printed: |
| Federal ID Number: |
| Printed Name and Title of Person Signing: |
| Executed in the County and State of: |
| Date Executed: |
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